Network Operations Specialist

About Curative

Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B Curative is scaling rapidly and investing in AI-powered service deeper member engagement and a smart network designed for todays workforce.

Our north star guides everything we do: healthcare only works when people can actually use it. That belief drives every decision we make: from how we design our plan support our members to how we collaborate as a team.

If you want to do meaningful work with a team that moves fast experiments boldly and cares deeply Curative is the place to do it. Were growing fast and looking for teammates who want to help transform health insurance for the better.

SUMMARY

Under the supervision of the Director of Network Development this network operations specialist fosters and maintains relationships with multiple departments throughout the organization. To successfully nurture such relationships professionals in the network operations support specialist role must possess strong communication and multi-tasking skills. Furthermore provider relations support specialists must have advanced customer service experience that will help them to address and resolve various types of issues daily tasks and successfully manage multiple projects at one time.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Establish key relationships both internally and externally
• Evaluate and organize list of initiatives and priorities
• Monitor and address emails from both internal and external constituents
• Support and assist with Key Performance Indicators
• Initiating and maintaining effective channels of communication across multiple teams
• Gather review and verify all pertinent information related to projects / initiatives
• Responsible for maintaining relationships with healthcare providers
• Managing multiple competing priorities to assist with achieving company strategies and goals.
• Maintain a working knowledge of basic medical / health plan related terminology
• Assist in regulatory compliance activities as directed
• Conduct pre-signature contract reviews
• Assist providers in ERA and EFT enrollment
• Other duties as directed

QUALIFICATIONS

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

• Basic knowledge and understanding of provider relations activities
• PC Proficiency and skills to include MS Office Suite Products and Google Products
• A proactive results-driven individual who is comfortable working independently and as part of a team.
• Strong interpersonal verbal and written communication skills to build and maintain relationships with external providers and internal teams.
• Good analytical skills and highly organized with the ability to manage multiple tasks and priorities simultaneously.
• Ability to create presentations training documents reports and analytical graphs.
• Highly organized and self-driven

Preferred Job Qualifications

• A minimum of 3 years experience in client services provider services or contract management.
• Adept at problem solving and decision-making skills
• Adept at collaboration and teamwork
• Adept at execution and delivery skills
• Strong communication and problem-solving skills

EDUCATION and/or EXPERIENCE

• Minimum 5 years related experience proven and proficient in provider relations

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this Job the employee is regularly required to sit; use hands to handle or feel; talk; and hear.
• Specific vision abilities required by this job include close vision distance vision color vision peripheral vision depth perception and ability to adjust focus.
• The noise level in the work environment is usually: Mild
• For this position the percentage of expected Travel is:up to 5 % of the time

Perks & Benefits

• Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)

  • $0 copays and $0 deductibles (with completion of our Baseline Visit )

  • Preventive and primary care built in

  • Mental health support (Rula Televero Two Chairs Recovery Unplugged)

  • One-on-one care navigation

  • Chronic condition programs (diabetes weight hypertension)

  • Maternity and family planning support

  • 24/7/365 Curative Telehealth

  • Pharmacy benefits

• Comprehensive dental and vision coverage

• Employer-provided life and disability coverage with additional supplemental options

• Flexible spending accounts

• Flexible work options: remote and in-person opportunities

• Generous PTO policy plus 11 paid annual company holidays

• 401K for full-time employees

• Generous Up to 812 weeks paid parental leave based on role eligibility.